https://scholars.lib.ntu.edu.tw/handle/123456789/585871
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | MING-HUI HUNG | en_US |
dc.contributor.author | HSAO-HSUN HSU | en_US |
dc.contributor.author | KUANG-CHENG CHAN | en_US |
dc.contributor.author | KE-CHENG CHEN | en_US |
dc.contributor.author | JR-CHI YIE | en_US |
dc.contributor.author | YA-JUNG CHENG | en_US |
dc.contributor.author | JIN-SHING CHEN | en_US |
dc.date.accessioned | 2021-10-27T07:49:00Z | - |
dc.date.available | 2021-10-27T07:49:00Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 1010-7940 | - |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908175543&doi=10.1093%2fejcts%2fezu054&partnerID=40&md5=dc74d841ddc9465c891b946f9de86bb0 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/585871 | - |
dc.description.abstract | OBJECTIVES: Thoracoscopic surgery using internal intercostal nerve block, vagal block and targeted sedation without endotracheal intubation is a promising technique for selected patients, but little is known about its feasibility and safety. METHODS: We evaluated 109 patients with lung (105), mediastinal (3) or pleural (1) tumours treated using non-intubated thoracoscopic surgery. Internal, intercostal nerve block was performed at the T3-T8 intercostal level and vagal block was performed adjacent to the vagus nerve at the level of the lower trachea for right-sided operations and at the level of the aortopulmonary window for left-sided operations. Sedation was performed with propofol infusion to achieve a bispectral index value between 40 and 60. RESULTS: Thoracoscopic lobectomy was performed in 43 patients, wedge resection in 50, segmentectomy in 12 and mediastinal or pleural tumour excision in 4. Three patients (2.8%) required conversion to intubated one-lung ventilation because of vigorous mediastinal movement and dense diaphragmatic adhesions. Anaesthetic induction and operation had a median duration of 10.0 and 127.0 min, respectively. Operative complications developed in 13 patients with air leaks for more than 3 days and 1 patient required transfusion of blood products. The median postoperative chest drainage and hospital stay were 2.0 and 4.0 days, respectively. CONCLUSIONS: Non-intubated thoracoscopic surgery using internal intercostal nerve block, vagal block and targeted sedation is technically feasible and safe in surgical treatment of lung, mediastinal and pleural tumours in selected patients. ? The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. | en_US |
dc.language.iso | en | en_US |
dc.publisher | European Association for Cardio-Thoracic Surgery | en_US |
dc.relation.ispartof | European Journal of Cardio-thoracic Surgery | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | morphine; adult; aged; anesthesia induction; Article; atelectasis; cancer surgery; child; female; headache; human; intercostal nerve block; lung lobectomy; lung tumor; major clinical study; male; mediastinum tumor; nerve block; non intubated thoracoscopic surgery; one lung ventilation; operative blood loss; pleura tumor; pneumothorax; positive end expiratory pressure; postoperative analgesia; postoperative care; postoperative delirium; postoperative pain; postoperative vomiting; priority journal; prospective study; sedation; sore throat; surgical technique; thoracoscopy; thoracotomy; thorax drainage; thorax epidural anesthesia; vagus nerve; vagus nerve block; very elderly; video assisted thoracoscopic surgery; wedge resection; adolescent; adverse effects; intercostal nerve; Lung Neoplasms; middle aged; nerve block; physiology; procedures; retrospective study; vagus nerve; video assisted thoracoscopic surgery; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Child; Female; Humans; Intercostal Nerves; Lung Neoplasms; Male; Middle Aged; Nerve Block; Retrospective Studies; Thoracic Surgery, Video-Assisted; Vagus Nerve; Young Adult | - |
dc.title | Non-intubated thoracoscopic surgery using internal intercostal nerve block, vagal block and targeted sedation | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1093/ejcts/ezu054 | - |
dc.identifier.pmid | 24585550 | - |
dc.identifier.scopus | 2-s2.0-84908175543 | - |
dc.relation.pages | 620-625 | en_US |
dc.relation.journalvolume | 46 | en_US |
dc.relation.journalissue | 4 | en_US |
item.openairetype | journal article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.fulltext | no fulltext | - |
item.grantfulltext | none | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology | - |
crisitem.author.dept | Anesthesiology-NTUHHC | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | National Taiwan University Cancer Center (NTUCC) | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Anesthesiology-NTUCC | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.orcid | 0000-0002-2575-3004 | - |
crisitem.author.orcid | 0000-0002-0376-1206 | - |
crisitem.author.orcid | 0000-0003-3410-605X | - |
crisitem.author.orcid | 0000-0001-6330-0674 | - |
crisitem.author.orcid | 0000-0001-9150-4690 | - |
crisitem.author.orcid | 0000-0001-5077-4483 | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | NTU Hsin-Chu Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Cancer Center (NTUCC) | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
顯示於: | 醫學院附設癌醫中心醫院(臺大癌醫) |
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